Individual
MARISSA MUNOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
1732 N 1550 E, PROVO, UT 84604-5732
(760) 807-1587
Mailing address
1732 N 1550 E, PROVO, UT 84604-5732
(760) 807-1587
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
45982
UT
Other
Enumeration date
06/24/2020
Last updated
06/27/2020
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